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例1,21岁,孕1产0。因孕37周,腹部持续性疼痛16小时,胎动消失4小时伴呕吐入院。既往健康。查体:BP10.7/8kPa,P108次/分,面色苍白,四肢湿冷,神志清。子宫如板状,压痛明显,胎位不清,胎心音消失。阴道有少量暗红色血液,颈管未消失,宫口未开。Hb48g/L,WBC14.8×10~9/L,NO.76％。入院诊断:胎盘早剥,胎死宫内,失血性休克。立即在局麻下行剖宫产术,术中见腹腔内有血液800ml,整个子宫呈紫褐色。切开子宫下段取出一男性死胎,见胎盘完全剥离,与宫壁间血肿积血约1200ml,羊水
Example 1,21 years old, pregnant 1 produce 0. 37 weeks pregnant, abdominal pain continued for 16 hours, fetal movement disappeared 4 hours with vomiting admitted. Past health. Examination: BP10.7 / 8kPa, P108 times / min, pale, limbs cold and cold, clear consciousness. Uterine plate, tenderness obvious, fetal position is unclear, fetal heart sound disappeared. The vagina has a small amount of dark red blood, cervical canal did not disappear, cervix is not open. Hb48g / L, WBC14.8 × 10 ~ 9 / L, NO.76%. Admission diagnosis: placental abruption, fetal death, hemorrhagic shock. Immediately under local anesthesia cesarean section, intraoperative see intraperitoneal blood 800ml, the entire uterus was purple-brown. Cut the lower uterine segment removed a male stillbirth, see the placenta completely stripped, and hematoma hematoma about 1200ml, amniotic fluid